OPTUM - BOTHELL
NPI 1770006330
Durable Medical Equipment & Medical Supplies in Bothell, WA

NPI Status: Active since July 25, 2017

Contact Information

9924 NE 185TH ST
BOTHELL, WA
ZIP 98011
Phone: (425) 595-3830

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 50D2137850
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About OPTUM - BOTHELL

This page provides the complete NPI Profile along with additional information for Optum - Bothell, a provider established in Bothell, Washington operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1770006330 assigned on July 2017. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's other name is Optum - Bothell. The authorized official of this NPI record is Dr. George Go Md (Board President)

NPI
1770006330
Provider Legal Name
OPTUM CARE WASHINGTON PLLC
Other Organization Name
OPTUM - BOTHELL
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
9924 NE 185TH ST BOTHELL, WA 98011
Location Phone
(425) 595-3830
Mailing Address
PO BOX 5127 EVERETT, WA 98206
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-25-2017
Last Update Date
04-11-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1291U00000XLaboratories

Clinical Medical Laboratory

50D2137850 (WA)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. GEORGE GO MD

Authorized Official Title
BOARD PRESIDENT
Authorized Official Phone
(425) 259-0966

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D2137850
Facility Type
Physician Office
Certificate Effective Date
October 04, 2017
Certificate Expiration Date
April 04, 2028
Laboratory Director
JESSICA ESTEPP
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Optum - Bothell after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1770006330, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 0 → 0 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 4 + 0 + 0 + 0 + 1 + 2 + 3 + 6 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1770006330.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
9924 NE 185TH ST
BOTHELL, WA 98011
Family Medicine
9924 NE 185TH ST
BOTHELL, WA 98011

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770006330, enumerated as an "organization" on July 25, 2017.

The provider is located at 9924 NE 185TH ST BOTHELL, WA 98011 and the phone number is (425) 595-3830.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.